• Clinical Guide to Transfusion, Clarke G, Blajchman M, eds. Ottawa: Canadian Blood Services, 2006.
• Chamber K, Letendre P, Whitman L.  Blood Components
• Buffy coat production method webpage

• Blood bag spiking procedures. 6-min. video of spiking technique for new blood bags used in buffy coat production (B.C. Blood Coordinating Office)
• CBS buffy coat blood bag implementation. Final report  (Aug. 2007)

• The art and science of perioperative anemia management (presentation by Dr. Kate Chipperfield, Mar. 6, 2007)

• See Cell salvage below

• Learn Intra-Operative Cell Salvage (online course)

Transfusion Alternative Strategies – Simple Safe Effective

• A 30-minute video by Jehovah's Witnesses
• E-mail hospital.info@wtbts.ca or phone Zenon Bodnaruk: 1-800-265-0327

  Note: One of the aims of good clinical care is to avoid blood transfusion wherever possible. This video is targeted to health professionals and is listed here for information only.

• CSTM Standards for Hospital Transfusion Services, v 2

• Letendre P. CSA Standards Z902-04:implications and issues. Blood Matters 2004 Jul;6(3):1-4.

Canada: Backgrounders (inc. Krever report)

USA:  HIV and the blood supply: an analysis of crisis decision making (1995, Institute of Medicine)

Cell salvage

• Intraoperative cell salvage competency assessment workbook (NSH Blood and Transplant)

• Intraoperative Cell Salvage Action Group: Technical factSheets (UK Better Blood Transfusion Toolkit)

• Clinical guideline: Cell salvage blood (intra-operative), administration in a non theatre setting (UCL Institute of Child Health)

• Grainger H, Jones J, McGee D; UK Cell Salvage Action Group. Education, training and competency assessment for intraoperative cell salvage. J Perioper Pract. 2008 Dec;18(12):536–42.

Types of cell salvage

• Intraoperative cell salvage (noblood.org)

• Intraoperative blood salvage using ultrafiltration (the Hemobag)  (video)

 BloodSafe (Govt. South Australia) See Safety Resource Files for conditions of use

• Nursing admin checklist (Sept. 2008)
• Red cell transfusion audit checklist for patient's notes (Dec. 2008)
• Transfusion basics - prescribing guide (Dec. 2008)

•  Pre-operative checklist for all patients who decline treatment using blood components

• Presentation tips  (Pat Letendre)

• Callum J, Pinkerton P. Adverse reactions

• CBS - transfusiomedicine.ca

• TTISS User's Manual (Updated Feb. 2008)

• REACT  (updated Nov. 2006)
• RESPONSE (July 2006)
  • Pocket guides on guidelines for suspected transfusion reactions
  • Ana Lima RN, HP (ASCP), Transfusion Safety Nurse, Sunnybrook & Women's Hospital, Toronto

Australia: Presentations - iTransfuse 'Transfusion Update 2010'

Canada

• CBS/ORBCoN/ONTraC Spring Symposium 2010 Presentations

  • Ethical principles to guide resource allocation for massively bleeding patients during a critical blood shortage (Dr. Nadine Shehata)

• ORBCoN Spring Symposium: Managing the bleeding patient - case studies (Dr. Lois Shepherd)

UK

• Presentations - Transfusion Practitioners' Study Day on Cell Salvage (26 April 2010)

• Presentations - 2009 SHOT meeting

• CE clearinghouse (inc. quality systems education & training & transfusion medicine forums and mailing lists)

Pat Letendre website:

• TM education resources

• BBTS  ( files)

  • 2005 ASM: Education sessions (CPD scheme, Specialist Certificate, Higher Specialist training)

• SOS Manual

• 47-slide presentation presented by Kate Gagliardi, Hamilton Health Sciences Centre, at the 2003 Canadian Society for Transfusion Medicine Annual Meeting
• View

• Form used in Document Control by Hamilton Health Sciences, with background information courtesy of Kate Gagliardi. Documents processes required by regionalized transfusion service.
• View

• TraQ case studies
• inc. Severe hemolytic transfusion reaction involving a student

• TM Refresher for technologists in a core lab or wishing refresher on basics (Hamilton Regional Laboratory Medicine Program & Niagara Health System, Ontario, Canada)

Blood transfusion training documents (Scottish National Blood Transfusion Service) Also see IBMS in Scotland Training Forum

• unless indicated otherwise

  IBMS Certificate of Competence Portfolio: Induction Programme, HPC Tutorial

  Laboratory Management

  Reflective notes

  Summary of evidence

  Training Plan One: HPC

  IBMS Certificate of Competence Portfolio - Trainee BMS: Training Plan One

  Training Plan One - Health Professions Council: Lecture notes

  Training Plan One: assessment record

  Witness statement

• Learning and teaching in the clinical environment (Br Med J 2003 Mar 15;326:591-4)
• Educational environment (Br Med J 2003 Apr 12;326:810-2)
• Web based learning (Br Med J 2003 Apr 19;326:870-3)
• Creating teaching materials (Br Med J 2003 Apr 26;326:921-3)

   

  • Entire teaching collection

• Information and training video for implementing buffy coat products by CBS (4 min. video)
  • Related resources

• Abstract by L. Denesiak, Dynacare Kasper, Edmonton, Alberta (presented at CSTM 2001)
• View

• Tips on how to motivate trainees by Pat Letendre
• View

BC PBCO (Canada)

•  BC Blood Contingency Plan and Toolkit (Oct. 30, 2009)

•  BC Blood Contingency Plan (Updated 21 Dec. 2009: UM.CONT.0001 Ver 2.0)

Transfusion Ontario (Canada)

• Transfusion Medicine Contingency Planning Blood Shortages Toolkit

• Canadian guidelines
• International guidelines

• Poster Presentation* (2005 Canadian Society for Transfusion Medicine Annual Meeting)
  • * K Gagliardi, I Resz, J DiTomasso, D Evanovitch, A MacDonald, P O’Hoski, D Boychuk, C McCallum, C Lester, N Heddle, M Blajchman  

Canada: TTISS

International Haemovigilance Network

EU directive and haemovigilance (Angela Robinson, UK NBS medical director)

NZBS: Haemovigilance reports

UK: SABRE – Serious Adverse Blood Reactions & Events

UK: SHOT  |  2008 SHOT Annual Report: Summary | Full Report (179 pp.)

Scotland: Blood Transfusion National Overview (8 Oct. 2008)

Local reports: Peer review of NHS performance against the blood transfusion standards

USA: MERS-TM

USA: CDC releases forms for hemovigilance module of National Healthcare Safety Network (Jan. 2010)

 Schonewille H. Red blood cell alloimmunization after blood transfusion (Leiden University Press, 2008) 176 p. thesis - it's a gem

NCBI: Blood groups and red cell antigens (free online textbook)

Armstrong B. Special issue: Introduction to Blood Transfusion Technology. ISBT Science Series 2008 June;3(2).

• 300-page textbook from South Africa targetted to medical laboratory technologists. Every chapter is full free text. Choose PDF versions & then save.

• Judd's Methods in Immunohematology, 3rd ed., with CD

Drugs/compounds reported to cause hemolytic anemias and/or positive DATs (Posted March 2008, courtesy of Maureen Wyatt)

Based in part on a contribution by George Garratty, PhD, FRCPath

• View  (September 2004)
  • Also see Petz LD, Garratty G. Immune Hemolytic Anemias, 2nd ed. 2004

• Contributed by Gail Sharpe

• Contributed by Gail Sharpe

Australia - Royal Children's Hospital:

• Blood transfusion, consent & documentation (29/09/2006)

 Informed consent forms

• Australia - Govt. of Queensland: Blood & blood products transfusion consent (Rev. 06/2010, V3.0)
• Capital Health, Edmonton, Alberta: Informed consent, documentation of transfusion
• USA - Univ. Virginia health System: Blood transfusion consent or refusal (Rev 10/09)

Originally presented at Medical Grand Rounds, University of Alberta Hospitals (March 28, 2003)

• Jason Hart MD, Fellow, Hematology/Oncology, University of Alberta
• Susan Nahirniak MD, FRCPC, Medical Director, CHA Transfusion Services
• Also presented by Jason Hart at the Alberta Vein-to-Vein Workshop, April 4, 2003

View (67 slides)

• CBS: Blood Inventory Management Best Practices Guide (2007)

• Canada (Newfoundland & Labrador): PBCO inventory management

• Pereira A. Blood inventory management in the type and screen era. Vox sang 2005;89(4) :245-50.

• BIM website
• Blood redistribution tools (inc. validation, training, and competency)  

• Inventory management tools  

National scheme to manage blood stocks in the United Kingdom

• BSMS website
• Inventory Practice Survey 2006 Report: “Stock Control & Training”
  • Other inventory practice surveys

• Mock-Up of blood component issue-administration record (form) (Chinook Health Region, Alberta, Canada)

• Visual inspection reference guide (recommended by Kathleen Eckert)

• View

• View

UK: Exploring incidents - improving safety. A guide to root cause analysis from the NPSA

Technology to enhance patient safety (TraQ clearinghouse)

Includes mistake-proofing devices such as barcodes, RFID, and barrier systems

Prevention of misidentifications (Ch. 43, Health Services Technology/Assessment Text [HSTAT])

Prevention of transfusion errors at the order entry phase. Improvements after an aggregated root cause analysis (BC Interior Health presentation courtesy of Maureen Wyatt)

Sazama K. Transfusion errors: Scope of the problem, Consequences, and solutions (Current Hematology Reports 2003; 2:518-21)

Errors and accidents in blood administration: What can be done to reduce their occurrence? (US HHS Blood Safety Transcript, Jan. 26, 2000

Also see Occurrence management  

• TraQ nursing resources

• Presented by Margaret O'Donovan at SHOT 2003 meeting
• View (31 slides)

Video highlighting the most common causes of error in blood transfusion

Available from UK National Blood Service

Details and order form

• TraQ clearinghouse

UK National Blood Service

• Overview - Electronic Clinical Transfusion Management System

  • Flow charts: Maps below are in same document
  • Simple Blood Transfusion Process Map  (Figure 2)
  • Blood Transfusion Process Map for Special Requirements  (Figure 3)
  • Emergency Issue of Blood - Transfusion Process Map   (Figure 4)
  • Returned and unused Blood Process Map  (Figure 5)

• How to write a business case
• How to manage a project  

• Overview of quality management

• Tips on how to deal with conflict by Pat Letendre
• Tips on how to make meetings more efficient (Pat Letendre )
• Networking - Overcoming your hesitation (Article for information professionals, but relevant to all)

• Source: Transfusion Ontario Program - Ottawa, Canada
  • Overview
  • Work aid

• Includes red cells, platelets, plasma, IVIG, coagulation products, albumin

BC PBCO: Systematic Reviews

• Some examples: Systematic Review of
  • IVIG for Primary Immunodeficiency Diseases (June 2007)
  • Hydroxyethyl Starch versus Crystalloids in Surgery (April 2008)
  • Albumin versus Synthetic Colloids for Fluid Resuscitation (May 2007)

AABB:   2005 nationwide blood collection & utilization survey

 USA: National Blood Collection and Utilization Surveys

• Also see Blood transfusions more than double since 1997 (24 Sept. 2009, AHRQ 'News and Numbers')

•  Octaplas compared to fresh frozen plasma to reduce the risk of transmitting lipid-enveloped viruses: an economic analysis and budget impact analysis

• BC PBCO albumin utilization management

 Asia Pacific Immunoglobulins in Immunology Expert Group

Australian National Blood Authority

• Criteria for the clinical use of IVIG in Australia (3 March 2008)
• A systematic literature review and report on the efficacy of intravenous immunoglobulin therapy and its risks (September, 2004)

Canadian Agency for Drugs and Technologies in Health

• Intravenous immunoglobulin for the treatment of chronic inflammatory demyelinating polyneuropathy (Mar. 2009)
• Subcutaneous versus intravenous immunoglobulin for primary immunodeficiencies: systematic review and economic evaluation (Jan. 2008)

Capital Health, Edmonton, Alberta, Canada:  all 

• IVIG Request Form (Feb 2004)
• IVIG Administration Protocol (Client Resource A)
• Initial (or over 8 wks since last) IVIG Infusion (Client Resource B)
• Less Than 8 wks Since Last IVIG Infusion (Client Resource C)
• Transfusion of Blood Products - Commonly asked questions

 UK NHS

• National demand management programme for immunoglobulin

rFVIIa (NiaStase^® / NovoSeven^®).

• Moltzan CJ, Anderson DA, Callum J, Fremes S, Hume H, Mazer CD, Poon MC, Rivard G, Rizoli S, Robinson S. The evidence for the use of recombinant factor VIIa in massive bleeding: development of a transfusion policy framework. Transfus Med. 2008 Apr;18(2):112–20.

• Method validation in the transfusion service